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LEESA BENENHALEY FNP
NPI 1386040129
Nurse Practitioner - Family in Petaluma, CA

Active since November 05, 2014PECOS EnrolledAccepts Medicare Assignment
1179 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 559-7500(707) 559-7620 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2019, Jul 12, 2019, Nov 6, 2018 (3 updates tracked since 2018).

About Leesa Benenhaley Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEESA BENENHALEY FNP (NPI 1386040129) is an individual family provider in Petaluma, California, licensed in California (95001100) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386040129
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEESA BENENHALEYCredential: FNP
Location Address1179 N MCDOWELL BLVDPetaluma, CA 94954-6559
Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500 · Fax (707) 559-7620
Phone(707) 559-7500
Fax(707) 559-7620
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 5, 2014
Last NPPES UpdateNovember 15, 20193 updates tracked since enumeration
✔ NPI 1386040129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95001100
1179 N MCDOWELL BLVD, Petaluma, CA 94954
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13110 Kerner BlvdSan Rafael, CA 94901-5411 · Phone (415) 448-1500
Location 21179 N McDowell BlvdPetaluma, CA 94954-6559 · Phone (707) 559-7500 · Fax (707) 559-7620

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leesa Benenhaley Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123329083
PECOS Enrollment IDI20151217001876
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers19 claims38 services$4.52 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$1.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA KATZ FINNEMORE MD
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
ROXANA INFANTE
Physician Assistant
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
HEIDI DITTRICH NP
Nurse Practitioner (Family)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
VANESSA ISELA BERMUDEZ-VILLALPANDO
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
DR. ANDREW BURNS ASHCROFT M.D.
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
DR. SHRADHA BIRADAR DO
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
JARED ANDREW INING DDS
Dentist
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
LORENA YANEZ-RAMIREZ ACSW
Social Worker (Clinical)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leesa Benenhaley's NPI number?

The NPI number for Leesa Benenhaley is 1386040129. It was assigned to this individual provider in the NPPES registry on November 5, 2014.

Where is Leesa Benenhaley located?

Leesa Benenhaley practices at 1179 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 559-7500.

What is Leesa Benenhaley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leesa Benenhaley enrolled in Medicare?

Yes. Leesa Benenhaley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Leesa Benenhaley was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.